Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $546.90 / $896.35	Facility		$209.54	$546.90	$896.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $209.54 / $305.57	Professional		$209.54	$209.54	$305.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.42 / $1,984.18 / $2,505.69	Facility		$1,547.42	$1,984.18	$2,505.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $98.61 / $158.50	Professional		$98.61	$98.61	$158.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $325.94 / $635.58	Professional		$325.94	$325.94	$635.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $761.31 / $2,086.73	Facility		$264.83	$761.31	$2,086.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $496.44 / $594.79	Professional		$144.21	$496.44	$594.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $488.92 / $603.00	Professional		$407.43	$488.92	$603.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.16 / $332.80 / $488.91	Facility		$245.16	$332.80	$488.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $806.71 / $977.83	Professional		$558.00	$806.71	$977.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $184.15 / $299.30 / $611.15	Facility		$184.15	$299.30	$611.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $295.60 / $543.10	Professional		$184.15	$295.60	$543.10
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $123.26 / $283.50	Professional		$103.54	$123.26	$283.50